| NPI | 1487842993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NC 2821) |
| Additional Taxonomies | 103TF0200X Psychologist Forensic (Licence: NC 2821) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |